Associations between water insecurity and depression among refugee adolescents and youth in a humanitarian context in Uganda: cross-sectional survey findings
ABSTRACT Background Water insecurity is linked to poor mental health through intrapersonal, relational and community-based stressors. We examined water insecurity and depression among refugee youth in Bidi Bidi, Uganda. Methods We conducted a cross-sectional survey and multivariable ordinal logistic...
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| Published in: | International Health Vol. 15; no. 4; pp. 474 - 476 |
|---|---|
| Main Authors: | , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
England
Oxford University Press (OUP)
04.07.2023
Oxford University Press |
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| ISSN: | 1876-3413, 1876-3405, 1876-3405 |
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| Abstract | ABSTRACT
Background
Water insecurity is linked to poor mental health through intrapersonal, relational and community-based stressors. We examined water insecurity and depression among refugee youth in Bidi Bidi, Uganda.
Methods
We conducted a cross-sectional survey and multivariable ordinal logistic regression to examine associations between water insecurity and depression severity, adjusting for gender, resilience, social support and food insecurity.
Results
Among participants (n=115; mean age: 19.7 y, SD 2.3), 80.0% reported water insecurity and 18.3% had moderate/severe depression symptoms. Water insecurity was independently associated with higher levels of depression severity (adjusted OR: 5.61; 95% CI 1.20 to 26.30; p=0.03).
Conclusions
Findings suggest water insecurity was commonplace and associated with depression. Water insecurity could be integrated in refugee mental health promotion by policymakers and community-based programmers. |
|---|---|
| AbstractList | ABSTRACT
Background
Water insecurity is linked to poor mental health through intrapersonal, relational and community-based stressors. We examined water insecurity and depression among refugee youth in Bidi Bidi, Uganda.
Methods
We conducted a cross-sectional survey and multivariable ordinal logistic regression to examine associations between water insecurity and depression severity, adjusting for gender, resilience, social support and food insecurity.
Results
Among participants (n=115; mean age: 19.7 y, SD 2.3), 80.0% reported water insecurity and 18.3% had moderate/severe depression symptoms. Water insecurity was independently associated with higher levels of depression severity (adjusted OR: 5.61; 95% CI 1.20 to 26.30; p=0.03).
Conclusions
Findings suggest water insecurity was commonplace and associated with depression. Water insecurity could be integrated in refugee mental health promotion by policymakers and community-based programmers. Water insecurity is linked to poor mental health through intrapersonal, relational and community-based stressors. We examined water insecurity and depression among refugee youth in Bidi Bidi, Uganda.BACKGROUNDWater insecurity is linked to poor mental health through intrapersonal, relational and community-based stressors. We examined water insecurity and depression among refugee youth in Bidi Bidi, Uganda.We conducted a cross-sectional survey and multivariable ordinal logistic regression to examine associations between water insecurity and depression severity, adjusting for gender, resilience, social support and food insecurity.METHODSWe conducted a cross-sectional survey and multivariable ordinal logistic regression to examine associations between water insecurity and depression severity, adjusting for gender, resilience, social support and food insecurity.Among participants (n=115; mean age: 19.7 y, SD 2.3), 80.0% reported water insecurity and 18.3% had moderate/severe depression symptoms. Water insecurity was independently associated with higher levels of depression severity (adjusted OR: 5.61; 95% CI 1.20 to 26.30; p=0.03).RESULTSAmong participants (n=115; mean age: 19.7 y, SD 2.3), 80.0% reported water insecurity and 18.3% had moderate/severe depression symptoms. Water insecurity was independently associated with higher levels of depression severity (adjusted OR: 5.61; 95% CI 1.20 to 26.30; p=0.03).Findings suggest water insecurity was commonplace and associated with depression. Water insecurity could be integrated in refugee mental health promotion by policymakers and community-based programmers.CONCLUSIONSFindings suggest water insecurity was commonplace and associated with depression. Water insecurity could be integrated in refugee mental health promotion by policymakers and community-based programmers. Water insecurity is linked to poor mental health through intrapersonal, relational and community-based stressors. We examined water insecurity and depression among refugee youth in Bidi Bidi, Uganda. We conducted a cross-sectional survey and multivariable ordinal logistic regression to examine associations between water insecurity and depression severity, adjusting for gender, resilience, social support and food insecurity. Among participants (n=115; mean age: 19.7 y, SD 2.3), 80.0% reported water insecurity and 18.3% had moderate/severe depression symptoms. Water insecurity was independently associated with higher levels of depression severity (adjusted OR: 5.61; 95% CI 1.20 to 26.30; p=0.03). Findings suggest water insecurity was commonplace and associated with depression. Water insecurity could be integrated in refugee mental health promotion by policymakers and community-based programmers. |
| Author | Lina Taing Nina Sokolovic Nelson Kisubi Simon Odong Lukone Carmen H Logie Moses Okumu Isha Berry Miranda Loutet Peter Kyambadde |
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| Cites_doi | 10.1080/16549716.2021.1940763 10.1046/j.1525-1497.2001.016009606.x 10.1186/s13031-020-00289-7 10.1136/bmjgh-2019-001750 10.1186/s12889-018-6043-z 10.1177/1073191103258144 |
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| Keywords | resource scarcity Uganda water insecurity depression refugee youth |
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| References | Kroenke (2023070412341552000_bib7) 2001; 16 UNHCR (2023070412341552000_bib3) 2021 Young (2023070412341552000_bib8) 2019; 4 Sinclair (2023070412341552000_bib9) 2004; 11 Wutich (2023070412341552000_bib1); 7 Logie (2023070412341552000_bib2) 2020; 14 Cooper-Vince (2023070412341552000_bib4) 2018; 18 Logie (2023070412341552000_bib5) 2021; 14 Shaghaghi (2023070412341552000_bib6) 2011; 1 |
| References_xml | – volume: 14 year: 2021 ident: 2023070412341552000_bib5 article-title: Ngutulu Kagwero (agents of change): study design of a participatory comic pilot study on sexual violence prevention and post-rape clinical care with refugee youth in a humanitarian setting in Uganda publication-title: Glob Health Action doi: 10.1080/16549716.2021.1940763 – volume: 7 ident: 2023070412341552000_bib1 article-title: Water and mental health publication-title: Wiley Interdiscip Rev Water – volume: 1 start-page: 86 year: 2011 ident: 2023070412341552000_bib6 article-title: Approaches to recruiting ‘hard-to-reach’ populations into research: a review of the literature publication-title: Heal Promot Perspect – volume: 16 start-page: 606 year: 2001 ident: 2023070412341552000_bib7 article-title: The PHQ-9: validity of a brief depression severity measure publication-title: J Gen Intern Med doi: 10.1046/j.1525-1497.2001.016009606.x – volume-title: Global Trends in Forced Displacement year: 2021 ident: 2023070412341552000_bib3 – volume: 14 start-page: 45 year: 2020 ident: 2023070412341552000_bib2 article-title: Contextual factors associated with depression among urban refugee and displaced youth in Kampala, Uganda: findings from a cross-sectional study publication-title: Confl Health doi: 10.1186/s13031-020-00289-7 – volume: 4 start-page: e001750 year: 2019 ident: 2023070412341552000_bib8 article-title: The Household Water InSecurity Experiences (HWISE) Scale: development and validation of a household water insecurity measure for low-income and middle-income countries publication-title: BMJ Glob Heal doi: 10.1136/bmjgh-2019-001750 – volume: 18 start-page: 1143 year: 2018 ident: 2023070412341552000_bib4 article-title: Water insecurity and gendered risk for depression in rural Uganda: a hotspot analysis publication-title: BMC Public Health doi: 10.1186/s12889-018-6043-z – volume: 11 year: 2004 ident: 2023070412341552000_bib9 article-title: The development and psychometric evaluation of the Brief Resilient Coping Scale publication-title: Assessment doi: 10.1177/1073191103258144 |
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Background
Water insecurity is linked to poor mental health through intrapersonal, relational and community-based stressors. We examined water... Water insecurity is linked to poor mental health through intrapersonal, relational and community-based stressors. We examined water insecurity and depression... |
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| StartPage | 474 |
| SubjectTerms | Adolescent Adult Cross-Sectional Studies Depression Humans Refugees Short Communication Uganda Water Insecurity Young Adult |
| Title | Associations between water insecurity and depression among refugee adolescents and youth in a humanitarian context in Uganda: cross-sectional survey findings |
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